Cephalosporin resistance in Klebsiella pneumoniae from Nova Scotia, Canada

From 2116 Klebsiella pneumoniae strains isolated between January 2001 and December 2002 in Nova Scotia, Canada, 25 (1.18%) showed a reduced susceptibility to cefoxitin or extended-spectrum cephalosporins. Narrow-spectrum β-lactamase genes ( bla SHV-11, bla SHV-1, bla SHV-26, bla SHV-32, bla SHV-36,...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2006-10, Vol.56 (2), p.197-205
Hauptverfasser: Melano, Roberto G., Davidson, Ross J., Musgrave, Heather L., Forward, Kevin R.
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creator Melano, Roberto G.
Davidson, Ross J.
Musgrave, Heather L.
Forward, Kevin R.
description From 2116 Klebsiella pneumoniae strains isolated between January 2001 and December 2002 in Nova Scotia, Canada, 25 (1.18%) showed a reduced susceptibility to cefoxitin or extended-spectrum cephalosporins. Narrow-spectrum β-lactamase genes ( bla SHV-11, bla SHV-1, bla SHV-26, bla SHV-32, bla SHV-36, and bla SHV-40) were the most prevalent. Four new variants were identified ( bla LEN-17, bla OKP-B-13, bla OKP-B-14, and bla OKP-A-11), representing the 1st description of bla OKP in the Americas. Among the extended-spectrum β-lactamase (ESBL) genes, bla SHV-2, bla SHV2a, bla SHV-12, and bla CTX-M-15 were detected (ESBL prevalence of 0.14%). Nineteen strains were resistant to cefoxitin (MIC, 32 to >256 μg/mL). Nevertheless, an AmpC-like activity was detected in only 1 strain, which expressed CMY-2. The combined effects of narrow-spectrum β-lactamase production and decreased or nonexpression of OmpK35/36 porins did not account for the cefoxitin resistance observed in some of these strains.
doi_str_mv 10.1016/j.diagmicrobio.2006.04.016
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subjects Amino Acid Sequence
Amp-C
Anti-Bacterial Agents - pharmacology
Bacterial Proteins - chemistry
Bacterial Proteins - genetics
Bacterial Proteins - metabolism
Bacteriology
Biological and medical sciences
Cephalosporin
Cephalosporin Resistance
Fundamental and applied biological sciences. Psychology
Gene Expression Regulation, Bacterial
Humans
Infectious diseases
Klebsiella Infections - epidemiology
Klebsiella Infections - microbiology
Klebsiella pneumoniae
Klebsiella pneumoniae - drug effects
Klebsiella pneumoniae - genetics
Medical sciences
Microbial Sensitivity Tests
Microbiology
Miscellaneous
Molecular Sequence Data
Nova Scotia - epidemiology
Outer brain protein
Phylogeny
title Cephalosporin resistance in Klebsiella pneumoniae from Nova Scotia, Canada
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